8/4/2016 BharatSancharNigamLimitedRecruitmentBoard

RecruitmentByBSNLForthePostOfJuniorEngineer(JE),(ESRTWHILETTA)

APPLYINGFORTHEPOST : JuniorEngineer(JE),(ESRTWHILETTA) Photo:

REGISTRATIONNO : 798944

SALUTATION : MR

REGISTEREDNAME : SHIVASHANKARKUMAR

DATEOFBIRTH : 12081990

AGEASON10082016 : 25

PersonalDetails EducationalCertificates:
FATHER'SNAME : RajendraPrasad
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FATHER'SLASTNAME : Sah
COMMUNITYCERTIFICATE(NONOC):
MOTHER'SNAME : Sheela
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MOTHER'SLASTNAME : Devi
AGEPROOFCERTIFICATE:
GENDER : MALE
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ADHARCARD/EIDNUMBEROFTHECANDIDATE(FOR : 812725476379
ASSAM,J&K,NEI(MEGHALAYA,MIZORAM,TRIPURA)&NE
II(NAGALAND,MANIPUR,ARUNACHALPRADESH)
CANDIDATUREIFTHEYDONOTPOSSESADDHAROREID
NO.PLSENTERPANCARDNO.ORVALIDDRIVINGLICENCE
NO)
POSTALADDRESS : VillagesirsiyaHanumangunj

ADDRESS2 : WardNo11,postMahathawaBazar
ADDRESS3 : PSBhargama

DISTRICT : Araria
STATE : Bihar

PINCODE : 854334
ADDRESSFORCORRESPONDENCE : 8/1ChatterjeeParaLane

ADDRESS2 : PostKadamtala
ADDRESS3 :

DISTRICT : Howrah
STATE : WestBengal

PINCODE : 711101
NATIONALITY : Indian

COMMUNALCATEGORY : OtherBackwardClass(OBC)
WHETHERBELONGTOEXSERVICEMAN? : No

AREYOUABSNLEMPLOYEE : No

WHETHERBELONGTOPWDCATEGORY? : No

WHETHERJ&KRESIDENT : No

CHOICEOFCIRCLEOFTHECANDIDATE : WESTBENGAL
NAMEOFEXAMINATIONCENTRE : Kolkata

EDUCATIONALQUALIFICATIONDETAILS
Subject Mediumof Nameoftheinstitiution/ Totalmarksobtainedbythe Grade/
Qualification Course Dateofresultpublishing
Stream instruction University candidate Class

Graduation WestBengalUniversityof
B.Tech Electrical English 24Jun2014 8.09 A
Degree technology

CONTACTDETAILS
MobileNo : +919748265339

EmailID : shivas072@gmail.com

ApplicationFeesDetails
PaymentMode : ONLINE
Amount : 1000
PaymentStatus : PAID
PaymentReferenceID : 18879817
TransactionDate : 04082016

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8/4/2016 BharatSancharNigamLimitedRecruitmentBoard

DECLARATION:
Idoherebydeclarethattheinformationfurnishedbymeinthisapplicationistrueandcompletetothebestofmyknowledge&beliefandincaseanypartofthesaidinformationisfound
incorrectorfalse,mycandidaturefortheexaminationwillbetreatedasNULLandVOID.Inaddition,IshallbeliableforsuchactionasmaybedeemedfitbytheCompany.

Signature:
Date:04082016

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